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Individual

DR. MICHAEL J LITREL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
227 RIVERSTONE DR, CANTON, GA 30114-5256
(770) 720-7733
(770) 720-7557
Mailing address
227 RIVERSTONE DRIVE, CANTON, GA 30114
(770) 720-7733
(770) 720-7557

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
039623
GA
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
039623
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000743366J
GA
05
000743366K
GA
05
00743366I
GA
01
16BBBPP
MEDICARE
GA
Enumeration date
08/24/2006
Last updated
10/30/2015
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